| Date of birth: | Sep 25, 1954 |
| Obts: | 50033185668 |
| Jacket number: | 0204926 |
| Holds for other agencies: | No |
| Facility: | OWN RECOGNIZANCE |
| Arresting agency: | 01-PBSO |
| Booking number: | 2011049995 |
| Booking date: | Nov 3, 2011 |
| Release date: | Nov 4, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | BATTERY - TOUCH OR STRIKE |
| Charge number: | 784.03-2560 |
| Bond amount: | $0 |